PURPOSE: Thromboembolic venous disease comprises deep venous thrombosis and pulmonary embolism. It is an important clinical condition that can lead to well-known complications; on the other hand, it can be effectively prevented. However, recent studies show that prevention is not being correctly performed. We attempt to evaluate how correct the prophylactic measures adopted in a general hospital are.
METHODS: Criteriously selected medical and surgical inpatients hospitalized in July and August 2005 were studied. We performed review of the medical registers, collecting data for risk determination and for analysis of the prescribed recommendations.
RESULTS: One hundred and ninety-four cases were studied. A significant part of the inpatients exhibited predisposing conditions and a high risk for the development of thromboembolic venous disease. However, only about half of them received correct preventive measures for the disease. The most frequently prescribed regimen was enoxaparin 40 mg/day.
CONCLUSION: Despite its proven efficacy, thromboembolic venous disease prophylaxis is being inadequately performed in the institution.
CLINICAL IMPLICATIONS: General educational programs for doctors are necessary to make sure patients are prescribed adequate deep venous trombosis (DVT) prophylaxis. Institutions are encouraged to adopt local DVT prophylaxis protocols.
DISCLOSURE: Hassan Yassine Neto, None.